December 2017
A Second Opinion Provided For A Patient 
In Rural Mexico

More and more, baby-boomers, digital nomads, and others are choosing to settle in Central and South America and parts of Asia. 

In turn, RCM is meeting an increasing number of calls from around the world for our consulting services and second opinions.  

A case in point, we recently completed a case for a patient living deep within rural Mexico.
Case Study:                                     
Jim is a baby-boomer and self-described hippie. Originally from Vancouver, he married, had a daughter named Rainbow, and worked as a truck driver. He liked the freedom of the road.
 
When he decided to retire, he and his wife Evelyn figured they could live well on a small income in rural Mexico. Rent for an apartment was going at about $150 per month. They made the move and cancelled their BC Medicare.
 
One year later Jim developed chronic lymphocytic leukemia (CLL). He became symptomatic with weight loss, night sweats and pneumonia. The village doctor sent him to a local hematologist in a somewhat larger community, not too far away. The hematologist proposed a protocol called BR, which is Bendamustine plus Rituxin. This cost Jim about $1,000 per month for six months.
Rupert Case Management Is Retained:                                     
Both Jim and Evelyn had questions about the treatment. They considered returning to B.C. for care, but Jim could not afford to wait the requisite three months to regain provincial healthcare coverage. He needed treatment sooner.
 
Jim's family in Canada retained RCM to provide a second opinion.  We retained a Spanish-speaking oncologist at Duke University to review Jim's clinical records, which were in Spanish, and the suggested BR protocol.
 
A leading expert in his field, the Duke specialist made recommendations about dosing and pre-medications. He agreed with the decision of the local hematologist. We provided Jim and Evelyn with a transcript of our discussion with the specialist at Duke, and ensured their complete understanding.
Favourable Outcome:                                      
Jim, Evelyn, and their family are now reassured that Jim is getting the right treatment. They are also greatly relieved to know he can contact the oncologist at Duke with any further questions or concerns, through his team at RCM.
 
Being able to access world-class experts through Rupert Case Management Inc. (RCM) is an important job that we do everyday for our patients, wherever they are located in the world.
TO START THE CONVERSATION:                                               
To learn about RCM's Services call, click or email.

1-800-620-7551 or 647-350-5500
 
 
Email us at: 
 
It all starts with a conversation.   We are always pleased to help.
 

           



           Raymond Rupert MD. MBA.
           Founder/Medical Director
           Rupert Case Management Inc.
           505 Eglinton Avenue West, Suite 203
           Toronto, ON M5N 1B1
           
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